Alcohol use can affect your health and can interfere with certain medications and treatments. Your answers will remain confidential so please be honest.Use the guide below to decide how many units you drink a week.
Answer the following questions and then add up the points for each answer at the end
If someone else cares for you, it is important for us to hold this information in your medical record, please sign below if you wish us to disclose information about your health to your career.
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